A nurse is providing teaching to a client who has schizophrenia and is to begin taking haloperidol. Which of the following information should the nurse include in the teaching?

"This medication will decrease your symptoms of OCD."

"This medication may cause excessive salivation."

"You may experience dizziness upon standing while taking this medication:"

"You can stop taking the medication if the adverse effects are bothersome."

Answer and Explanation

The Correct Answer is C

A. Haloperidol is not typically used to treat obsessive-compulsive disorder (OCD), which is a separate psychiatric condition with distinct symptoms and treatment approaches.

B. This is not a common side effect of haloperidol.

C. Haloperidol can cause orthostatic hypotension, which can lead to dizziness upon standing.

D. Abruptly stopping antipsychotic medication, such as haloperidol, can lead to withdrawal symptoms and a worsening of psychiatric symptoms.

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Correct Answer is D

Explanation

D. Remaining with the client provides support and reassurance during a period of agitation and restlessness. The presence of the nurse can help the client feel safe and supported, and it allows the nurse to assess the client's condition closely and intervene as needed.

A. While administering a PRN (as needed) sleeping medication may be considered in some situations, it is not the first-line intervention when a client is experiencing agitation and restlessness.

B. Encouraging the client to return to bed may be appropriate if they are willing and able to do so. However, if the client is agitated and pacing the floor, they may not feel comfortable or able to go back to bed.

C. Exploring alternatives to pacing the floor involves assessing the client's needs and preferences and identifying activities or strategies that may help alleviate agitation and promote relaxation. However, proper observation of the client behavior should be prioritized.

A. Drinking green tea B. Exercising moderately C. Experiencing excessive sweating, a low sodium diet, or diarrhea D. Increasing sodium intake

Correct Answer is C

Explanation

C. Excessive sweating, a low sodium diet, and diarrhea can all lead to dehydration and electrolyte imbalances, particularly low sodium levels (hyponatremia). Lithium is primarily excreted by the kidneys, and its clearance is influenced by sodium levels in the body. Decreased sodium levels can impair lithium excretion, leading to increased lithium levels and potential toxicity.

A. Green tea contains caffeine, which is a diuretic and can increase urine output. Since lithium is excreted primarily by the kidneys, increased urine output can lead to decreased lithium levels in the body and potentially subtherapeutic levels.

B. While exercise can increase sweat production, leading to fluid and electrolyte loss, moderate exercise alone is unlikely to cause significant lithium toxicity.

D. Increasing sodium intake can potentially enhance lithium excretion by promoting its renal clearance not accumulation and toxicity.

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A nurse is providing teaching to a client who has schizophrenia and is to begin taking haloperidol. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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